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Updated: May 25, 2026

Studying the Epithelial Effects of Intestinal Inflammation In Vitro on Established Murine Colonoids
Published on: June 2, 2023
Indomethacin antagonizes EP(2) prostanoid receptor activation in LS174T human colon cancer cells
Yuta Ikawa1, Hiromichi Fujino, Sho Otake
1Laboratory of Chemical Pharmacology, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8675, Japan.
Abstract:
Increases in the level of cyclooxygenase (COX)-2 and prostanoids such as prostaglandin E(2) (PGE(2)) are considered biomarkers of colorectal cancer. Therefore, non-steroidal anti-inflammatory drugs (NSAID) have been used to reduce the risk of cancer development by reducing prostanoid biosynthesis as COX inhibitors. Along with their activity as COX inhibitors, NSAID have been reported to have other effects. One major NSAID, indomethacin, has been shown to have several effects independent of COX inhibition. To further examine the COX-inhibition-independent effects of indomethacin on colorectal cancer, we used human colon cancer LS174T cells, known to have express little COX-2 and have no detectable PGE(2) production. Here we show that indomethacin has a potential antagonizing effect on human EP(2) receptors. We believe this study raises the reasons to use indomethacin as a lead-compound for setting up another EP(2) receptor-specific antagonist as a relatively cost-efficient strategy for anti-cancer medication in the future.
Insights
Non-steroidal anti-inflammatory drugs like indomethacin may fight colorectal cancer by blocking EP2 receptors, independent of cyclooxygenase inhibition. This suggests new therapeutic strategies for cancer treatment.
Area of Science:
- Oncology
- Pharmacology
Background:
- Cyclooxygenase-2 (COX-2) and prostaglandin E2 (PGE2) are key biomarkers in colorectal cancer development.
- Non-steroidal anti-inflammatory drugs (NSAIDs) are used to mitigate cancer risk by inhibiting prostanoid biosynthesis via COX inhibition.
Purpose of the Study:
- To investigate the cyclooxygenase (COX)-independent effects of indomethacin on colorectal cancer.
- To explore indomethacin's potential as a lead compound for novel anti-cancer therapeutics.
Main Methods:
- Utilized human colon cancer LS174T cells, which exhibit minimal COX-2 expression and no detectable PGE2 production.
- Assessed the effects of indomethacin on these cells to identify COX-independent mechanisms.
Main Results:
- Indomethacin demonstrated a potential antagonizing effect on human EP2 receptors.
- This effect was observed in colorectal cancer cells with low COX-2 and PGE2 levels.
Conclusions:
- Indomethacin exhibits anti-cancer properties through EP2 receptor antagonism, independent of COX inhibition.
- Indomethacin serves as a promising lead compound for developing specific EP2 receptor antagonists for colorectal cancer therapy.
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